REsuscitation Survey of Police Officers in New Taipei City for Duty

NCT ID: NCT06955351

Last Updated: 2025-05-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

4867 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-12-01

Study Completion Date

2025-04-02

Brief Summary

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Out-of-hospital cardiac arrest (OHCA) remains a time-critical emergency where early cardiopulmonary resuscitation (CPR) and timely defibrillation using an automated external defibrillator (AED) are key to improving survival and neurological outcomes. Although Taipei has implemented dispatch-assisted CPR, delays remain between arrest recognition and AED application due to manpower and policy limitations. International guidelines, including the Global Resuscitation Alliance's ten steps to improve OHCA outcomes, recommend involving police as first responders. Prior studies from the United States and Switzerland demonstrate that police often arrive before emergency medical services (EMS), underscoring their potential role in reducing response times. However, police have not been officially included in OHCA dispatch systems in any region of Taiwan. This study aims to evaluate the willingness of police officers in New Taipei City to participate in prehospital resuscitation through a structured questionnaire. The survey also explores perceived facilitators and barriers to involvement. Findings will inform future training programs and strategies to promote police integration into prehospital emergency response systems, with the ultimate goal of improving OHCA survival rates.

Detailed Description

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For patients with emergency cardiopulmonary arrest before arriving at the hospital, every second counts, especially good early cardiopulmonary resuscitation (Cardiopulmonary Resuscitation, CPR) and early use of automated external defibrillator (Automated External Defibrillator, referred to as AED), which can increase the patient's recovery of autonomous cardiopulmonary opportunity to cycle. After the introduction of online Dispatch-assisted CPR from Taipei, the survival rate and the rate of discharge with good neurology improved. Unfortunately, due to the limitations of manpower space and policies, the proportion and time from the successful identification of cardiopulmonary arrest to the first use of public electric shock is still relatively long. Ten guidelines recommended by the Global Resuscitation Alliance to improve survival for patients with pre-hospital cardiac arrest also recommend including police as first responders. Through more intensive manpower distribution, response times and shock times can be reduced, and these advances have also successfully improved survival rates. According to studies in the United States and Switzerland in 2002 and 2017, respectively, the police arrived at the scene faster than the emergency medical technician, which is also in line with the purpose of reducing reaction time and improving the survival rate of patients. No county or city in Taiwan has officially included the police in the OHCA dispatch. This study uses a questionnaire survey to understand the New Taipei City police's willingness to participate in the first aid and resuscitation of patients with cardiopulmonary arrest before hospitalization. At the same time, we will further analyze and understand the assistance and resistance of participating in emergency resuscitation. After the study is completed, courses such as education and training will be designed according to the results, and efforts will be made to reduce resistance, so that the police can be more involved in pre-hospital emergency resuscitation, in order to further improve the survival chances of patients with pre-hospital cardiopulmonary arrest.

Conditions

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Bystander Chest Compression Out of Hospital Cardiac Arrest AED Police Willingness to Participate

Study Design

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Observational Model Type

ECOLOGIC_OR_COMMUNITY

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Frontline Police Officers in New Taipei City

Frontline police officers in New Taipei City are responsible for various field duties, including patrolling, responding to emergency calls, conducting security checks, traffic control, and maintaining public order. These officers often serve as the first responders at the scene of incidents and emergencies

Survey by Questionnaire

Intervention Type OTHER

The questionnaire is designed to collect the following information: demographic data (including gender, age, education level, marital status, place of residence, and whether the respondent is a healthcare provider), the respondent's status of basic life support (BLS) training, attitudes and willingness to use an automated external defibrillator (AED), and their knowledge of emergency medical service regulations.

Interventions

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Survey by Questionnaire

The questionnaire is designed to collect the following information: demographic data (including gender, age, education level, marital status, place of residence, and whether the respondent is a healthcare provider), the respondent's status of basic life support (BLS) training, attitudes and willingness to use an automated external defibrillator (AED), and their knowledge of emergency medical service regulations.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* New Taipei City Government Police

Exclusion Criteria

* Those who are unwilling to fill out this questionnaire or feel physically or mentally unwell while filling it out
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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New Taipei City Police Department

UNKNOWN

Sponsor Role collaborator

New Taipei City Fire Department

UNKNOWN

Sponsor Role collaborator

Far Eastern Memorial Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jen Tang Sun, Chief of Emergency Surgery

Role: STUDY_CHAIR

Far Eastern Memorinal Hospital

Locations

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Far Eastern Memorinal Hospital

New Taipei City, , Taiwan

Site Status

Countries

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Taiwan

References

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Stein P, Spahn GH, Muller S, Zollinger A, Baulig W, Bruesch M, Seifert B, Spahn DR. Impact of city police layperson education and equipment with automatic external defibrillators on patient outcome after out of hospital cardiac arrest. Resuscitation. 2017 Sep;118:27-34. doi: 10.1016/j.resuscitation.2017.06.017. Epub 2017 Jun 24.

Reference Type BACKGROUND
PMID: 28655625 (View on PubMed)

Krammel M, Lobmeyr E, Sulzgruber P, Winnisch M, Weidenauer D, Poppe M, Datler P, Zeiner S, Keferboeck M, Eichelter J, Hamp T, Uray T, Schnaubelt S, Nuernberger A. The impact of a high-quality basic life support police-based first responder system on outcome after out-of-hospital cardiac arrest. PLoS One. 2020 Jun 2;15(6):e0233966. doi: 10.1371/journal.pone.0233966. eCollection 2020.

Reference Type BACKGROUND
PMID: 32484818 (View on PubMed)

Myerburg RJ, Fenster J, Velez M, Rosenberg D, Lai S, Kurlansky P, Newton S, Knox M, Castellanos A. Impact of community-wide police car deployment of automated external defibrillators on survival from out-of-hospital cardiac arrest. Circulation. 2002 Aug 27;106(9):1058-64. doi: 10.1161/01.cir.0000028147.92190.a7.

Reference Type BACKGROUND
PMID: 12196329 (View on PubMed)

Hawkes C, Booth S, Ji C, Brace-McDonnell SJ, Whittington A, Mapstone J, Cooke MW, Deakin CD, Gale CP, Fothergill R, Nolan JP, Rees N, Soar J, Siriwardena AN, Brown TP, Perkins GD; OHCAO collaborators. Epidemiology and outcomes from out-of-hospital cardiac arrests in England. Resuscitation. 2017 Jan;110:133-140. doi: 10.1016/j.resuscitation.2016.10.030. Epub 2016 Nov 17.

Reference Type BACKGROUND
PMID: 27865775 (View on PubMed)

Colquhoun MC, Chamberlain DA, Newcombe RG, Harris R, Harris S, Peel K, Davies CS, Boyle R. A national scheme for public access defibrillation in England and Wales: early results. Resuscitation. 2008 Sep;78(3):275-80. doi: 10.1016/j.resuscitation.2008.03.226. Epub 2008 Jun 17.

Reference Type BACKGROUND
PMID: 18562074 (View on PubMed)

Rea TD, Olsufka M, Bemis B, White L, Yin L, Becker L, Copass M, Eisenberg M, Cobb L. A population-based investigation of public access defibrillation: role of emergency medical services care. Resuscitation. 2010 Feb;81(2):163-7. doi: 10.1016/j.resuscitation.2009.10.025. Epub 2009 Dec 3.

Reference Type BACKGROUND
PMID: 19962225 (View on PubMed)

Moore MJ, Hamilton AJ, Cairns KJ, Marshall A, Glover BM, McCann CJ, Jordan J, Kee F, Adgey AA. The Northern Ireland Public Access Defibrillation (NIPAD) study: effectiveness in urban and rural populations. Heart. 2008 Dec;94(12):1614-9. doi: 10.1136/hrt.2007.130534. Epub 2008 Jan 29.

Reference Type BACKGROUND
PMID: 18230637 (View on PubMed)

Blom MT, Beesems SG, Homma PC, Zijlstra JA, Hulleman M, van Hoeijen DA, Bardai A, Tijssen JG, Tan HL, Koster RW. Improved survival after out-of-hospital cardiac arrest and use of automated external defibrillators. Circulation. 2014 Nov 18;130(21):1868-75. doi: 10.1161/CIRCULATIONAHA.114.010905.

Reference Type BACKGROUND
PMID: 25399395 (View on PubMed)

Pei-Chuan Huang E, Chiang WC, Lu TC, Wang CH, Sun JT, Hsieh MJ, Wang HC, Yang CW, Lin CH, Lin JJ, Yang MC, Huei-Ming Ma M. Barriers to bystanders defibrillation: A national survey on public awareness and willingness of bystanders defibrillation☆. J Formos Med Assoc. 2021 Mar;120(3):974-982. doi: 10.1016/j.jfma.2020.10.020. Epub 2020 Nov 18.

Reference Type BACKGROUND
PMID: 33218851 (View on PubMed)

Kitamura T, Iwami T, Kawamura T, Nagao K, Tanaka H, Hiraide A; Implementation Working Group for the All-Japan Utstein Registry of the Fire and Disaster Management Agency. Nationwide public-access defibrillation in Japan. N Engl J Med. 2010 Mar 18;362(11):994-1004. doi: 10.1056/NEJMoa0906644.

Reference Type BACKGROUND
PMID: 20237345 (View on PubMed)

Other Identifiers

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FEMH-2023-C-046

Identifier Type: OTHER

Identifier Source: secondary_id

112212-E

Identifier Type: -

Identifier Source: org_study_id

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